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Hubungan Paritas dengan Kejadian Atonia Uteri Luh Putu Suwantini; Ni Nyoman Budiani; Ni Wayan Suarniti
Jurnal Sehat Mandiri Vol 21 No 1 (2026): Jurnal Sehat Mandiri, Volume 21, No.1 Juni 2026
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v21i1.2029

Abstract

Atonia uteri diidentifikasi sebagai etiologi yang mendasari hingga 80% kasus perdarahan pasca persalinan. Grandemultipara merupakan faktor resiko potensial untuk terjadinya atonia uteri. Penelitian ini bertujuan untuk menganalisis hubungan antara paritas dengan kejadian atonia uteri di Rumah Sakit Umum Daerah Bali Mandara Provinsi Bali tahun 2024. Jenis penelitian ini merupakan penelitian analitik korelasional dan menggunakan total sampling pada 94 ibu bersalin. Penelitian ini menggunakan data sekunder dari rekam medik pasien. Analisis data univariat disajikan dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Koefisien Kontingensi (α=0,05). Hasil penelitian menunjukkan bahwa mayoritas re$sponde$n pada pe$ne$litian ini de$ngan paritas multipara se$banyak 51 orang (54,3%), te$rdapat 19 ibu be$rsalin (20,2%) me$ngalami atonia ute$ri, dan terdapat hubungan yang signifikan antara paritas ibu bersalin (nilai-p = 0,000) dengan kejadian atonia uteri dengan nilai korelasi 0,457 menunjukkan kekuatan hubungan sedang dimana semakin sering ibu melahirkan maka resiko kejadian atonia uteri semakin besar. Paritas tinggi perlu menjadi sorotan bagi tenaga kesehatan terkait pencegahan atonia uteri dan ibu hamil disarankan untuk merencanakan kehamilannya untuk mencegah faktor resiko dari atonia uteri oleh karena paritas serta peneliti selanjutnya diharapkan dapat mengeksplorasi faktor risiko lain terkait atonia uteri.
Peningkatan Kemampuan Kader Posyandu Deteksi Dini Kanker Payudara SADARI Kelurahan Serangan Denpasar Ni Nyoman Budiani; Gusti Ayu Marhaeni; Sri Rahayu
Jurnal Imiah Pengabdian Pada Masyarakat (JIPM) Vol 3 No 2 (2025): Oktober - Desember
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Breast cancer is a non-communicable disease characterized by rapid and uncontrolled cell growth that can spread to other parts of the body. Breast cancer ranks first among all cancers (34.3%), followed by cervical cancer (19.12%). This community service activity aimed to enhance the capacity of cadres to perform breast self-examination (BSE) as an effort for early detection of breast cancer. The method employed was coaching, targeting all 70 Posyandu cadres (10 cadres per Posyandu). The coaching media consisted of modules and leaflets and was implemented through the delivery of educational materials on cancer and early detection, as well as demonstrations of BSE procedures. The results showed that knowledge levels, attitude scores, and skills were higher after the coaching intervention. In conclusion, coaching effectively improves the ability of Posyandu cadres to conduct early detection of breast cancer through BSE.
Evidence-Based Review: Efektivitas Effleurage Massage dalam Proses Persalinan Ni Kadek Ayu Sriani; Ni Made Dwi Mahayati; Ni Nyoman Budiani
JURNAL WACANA KESEHATAN Vol 11, No 1 (2026): Juli
Publisher : Universitas Dharma Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52822/jwk.v11i1.936

Abstract

Labor is a physiological process commonly accompanied by pain, particularly during the active phase of the first stage of labor. Poorly managed labor pain may increase anxiety, tension, and negatively affect the progress of labor. One of the non-pharmacological methods that can be used to reduce labor pain is effleurage massage. This study aimed to review scientific evidence regarding the effectiveness of effleurage massage during labor. The study employed an evidence-based review design using a systematic literature review approach. Article searches were conducted through PubMed/PMC, Cochrane Library, ScienceDirect, and Google Scholar databases for publications from 2020–2026 using keywords related to effleurage massage and labor. Based on the selection process according to the inclusion and exclusion criteria, 12 articles were included for further analysis. The findings showed that most studies reported that effleurage massage was effective in reducing labor pain intensity during the active phase of the first stage of labor, decreasing maternal anxiety, improving relaxation and comfort, and shortening labor duration. The effectiveness of effleurage massage is associated with tactile stimulation mechanisms based on the gate control theory and endorphin release, which help inhibit pain impulse transmission. In conclusion, effleurage massage is a safe, easy-to-apply, and effective non-pharmacological intervention to support a more comfortable and humanized childbirth process.